Clinical Observation On Treatment Of Ankylosing Spondylitis With Acupotomy Combined With Scaple-needle

Objective:To observe the effect of acupotomy combined with scaple-needle and round head-needle on morning stiffness,BASFI score,VAS score,CRP,ESR and R efficacy of patients with ankylosing spondylitis,and to enhance the clinical efficacy of acupotomy therapy compare to acupuncture therapy,so as to provide a new treatment scheme and explore new approaches for clinical treatment of ankylosing spondylitis.Methods:This clinical observation included 63 patients with ankylosing spondylitis in acti've phase from the Malaysia Accupotomy Research and Treatment Centre.All patients were randomly divided into treatment group(31 cases)and observation group(32 cases).Treatment group was treated with acupotomy combined with scaple-needle and round head-needle.We located their lesion on either side of the spinous process,transverse process,zygopophysis or on the basis of X-ray,MRI and so on.Each time we selected 3-6 points to treat.Generally we treated infibrosis and abnormal lesionof fusion bands beside the spinous process,transverse process,vertebral plate or sacroiliac joint capsule.patients were accepted the acupotomy therapy as the main method to treat firstly and the scaple-needle and round head-needle therapy as the auxiliary method.patients were treated in acupotomy combined with scaple-needle once every 7 days.One course of treatment lasted 6 weeks.After the first course and the second course of treatment,we compared the validity of each group.In the observation group,traditional acupuncture therapy was performed with Huatuo Jiaji points as the main acupoint and Shenshu BL23,Yaoyangguan GV3,Dazhu BL11,Ashi points as the corresponding points.After patients got arrival of qi,we took mild reinforcing-attenuating for 30s.The needles were retained for 30min.patients were treated by once a day.Duration of one course of treatment included 6 weeks.There were 3 rest days interval between the two courses.After the first course and the second course of treatment,we compared the validity of each group which included morning stiffness,BASFI score,VAS score,CRP,ESR of patients.Results:Before the treatment,the patients in two groups were statistically analyzed by age,gender,disease duration,morning stiffness,BASFI score,VAS score,CRP,ESR and so on.The value was more than 0.05,which proved that the patients in two groups were comparable.After the first course and the second course of treatment,morning stiffness,VAS score,CRP,ESR were lower than before(p<0.05),BASFI score was higher than before(p<0.05),and the effect was improved after 12 weeks of treatment compared with 6 weeks of treatment(p<0.05).From the total curative effect,the treatment group effective rate in VAS was 86.67%after the first course and 93.30%after the second course.The observation group effective rate in VAS was 33.33%after the first course and 73.33%after the second course.Both groups showed improvement than before treatMent(p<0.05).The results of the treatment group was better than the observation group,showing significant dinfferences(p<0.05).Conclusions:The combination of acupotomy and scaple-needle is effective in treating ankylosing spondylitis.Its total effective rate is better than the control group.The treatment of acupotomy combined with scaple-needle can significantly reduce the time of morning stiffness,reduce joint pain,improve joint function and laboratory indicators,and is superior to acupuncture alone.After 6 weeks of treatment,the above observations can be significantly improved.After 12 weeks of treatment,the clinical effect was more significant than that of 6 weeks.